Swollen Members was founded in the mid-1990s by Vancouverites Mad Child, Prevail and Moka Only. Having begun a solo career while living in San Francisco, California, Mad Child returned to Vancouver for some work. There he met Prevail and Moka Only, working as partners and making a name together on Canada's West coast hip hop community. The trio saw each other's abilities, thought they heard opportunity knocking, and joined together under the name Swollen Members.